Asssociated Physicians & Surgeons Clinic, LLC

NPI #1750471413 in Marshall, Illinois

Provider Information

NPI Number: 1750471413
Entity Type: Organization
Organization Name: Asssociated Physicians & Surgeons Clinic, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: ASSOCIATED PHYSICIANS & SURGEONS CLINIC, LLC
Primary Specialty: Urology
Enumeration Date: Oct 13, 2006
Last Updated: Nov 6, 2007

Practice Location

Address: 410 N 2ND ST
City: Marshall
State: Illinois
ZIP Code: 62441-1010
Phone: (812) 232-0564

Authorized Official

Name: MICHAEL P FOUTY
Title: CFO/AUTHORIZED REPRESENTATIVE
Phone: (812) 232-0564

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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